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  <title>慈铭体检-慢病预测</title>
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   <div class="logocon"><span class="logo">慈铭体检</span>&nbsp;&nbsp;|&nbsp;&nbsp;慢病预测</div>
   <div class="navmenu"><a href="index.html">网站首页</a>|<a href="svgMap/map.html">疾病分布</a>|<a href="yuce.html">慢病预测</a>|<a href="aizdlogin.html">癌症筛选</a></div>
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    <table width="100%" border="0" cellspacing="1" cellpadding="0" bgcolor="#bde5e4">
      <tr>
        <td colspan="4" align="center"><h1>慢病风险分析问卷</h1></td>
      </tr>
      <tr>
        <td>您的性别：</td>
        <td><p>
          <label>
            <input name="sex" type="radio" id="RadioGroup1_0" value="1" checked="checked" />
            男</label>
            &nbsp;&nbsp;&nbsp;&nbsp;
            <label>
              <input type="radio" name="sex" value="0" id="RadioGroup1_1" />
              女</label>
              <br />
            </p></td>
            <td>您的年龄：</td>
            <td><input type="text" name="age" id="age" value="" /></td>
          </tr>
          <tr>
            <td>身高（cm）:</td>
            <td><input type="text" name="high" id="textfield3" /></td>
            <td>体重(kg): </td>
            <td><input type="text" name="weight" id="textfield2" /></td>
          </tr>
          <tr>
            <td colspan="4">您是否曾被诊断为患高血压？</td>
          </tr>
          <tr>
            <td colspan="4"><p>
              <label>
                <input name="bphigh" type="radio" id="bphigh" value="1" checked="checked" />
                是</label>
                <label>
                  <input type="radio" name="bphigh" value="0" id="RadioGroup2_1" />
                  否</label>
                </p></td>
              </tr>
              <tr>
                <td colspan="4">您的直系亲属（父母兄弟姐妹）中是否患有高血压？</td>
              </tr>
              <tr>
                <td colspan="4"><p>
                  <label>
                    <input name="qinshubp" type="radio" id="RadioGroup3_0" value="1" checked="checked" />
                    是</label>
                    <label>
                      <input type="radio" name="qinshubp" value="0" id="RadioGroup3_1" />
                      否</label>
                    </p></td>
                  </tr>
                  <tr>
                    <td colspan="4">您每天摄入多少酒精？</td>
                  </tr>
                  <tr>
                    <td colspan="4"><p>
                      <label>
                        <input name="jiujing" type="radio" id="RadioGroup4_0" value="0" checked="checked" />
                        不饮&nbsp;&nbsp;&nbsp;&nbsp;</label>
                        <label>
                          <input type="radio" name="jiujing" value="0" id="RadioGroup4_1" />
                          适量</label>
                          &nbsp;&nbsp;&nbsp;
                          <label>
                            <input type="radio" name="jiujing" value="1" id="RadioGroup4_2" />
                            过量</label>
                          </p></td>
                        </tr>
                        <tr>
                          <td colspan="4">您是否吸烟？</td>
                        </tr>
                        <tr>
                          <td colspan="4"><p>
                            <label>
                              <input name="xiyan" type="radio" id="RadioGroup5_0" value="1" checked="checked" />
                              是</label>
                              <label>
                                <input type="radio" name="xiyan" value="0" id="RadioGroup5_1" />
                                从不吸烟</label>
                                <label>
                                  <input type="radio" name="xiyan" value="0" id="RadioGroup5_2" />
                                  之前吸，现在已戒</label>
                                </p></td>
                              </tr>
                              <tr>
                                <td colspan="4">您每周的锻炼次数？</td>
                              </tr>
                              <tr>
                                <td colspan="4"><p>
                                  <label>
                                    <input name="duanlian" type="radio" id="RadioGroup6_0" value="1" checked="checked" />
                                    &lt;=2次</label>
                                    &nbsp;&nbsp;&nbsp;&nbsp;
                                    <label>
                                      <input type="radio" name="duanlian" value="0" id="RadioGroup6_1" />
                                      3-4次</label>
                                      &nbsp;&nbsp;&nbsp;&nbsp;
                                      <label>
                                        <input type="radio" name="duanlian" value="0" id="RadioGroup6_2" />
                                        &gt;=5次</label>
                                        &nbsp;</p></td>
                                      </tr>
                                      <tr>
                                        <td colspan="4">您的日常饮食是否偏咸？</td>
                                      </tr>
                                      <tr>
                                        <td colspan="4"><p>
                                          <label>
                                            <input name="xian" type="radio" id="RadioGroup7_0" value="1" checked="checked" />
                                            是</label>
                                            &nbsp;&nbsp;&nbsp;&nbsp;
                                            <label>
                                              <input type="radio" name="xian" value="0" id="RadioGroup7_1" />
                                              否</label>
                                              &nbsp;&nbsp;&nbsp;</p></td>
                                            </tr>
                                            <tr>
                                              <td colspan="4">您是否有糖尿病？</td>
                                            </tr>
                                            <tr>
                                              <td colspan="4"><p>
                                                <label>
                                                  <input name="sugar" type="radio" id="RadioGroup8_0" value="1" checked="checked" />
                                                  是</label>
                                                  &nbsp;&nbsp;&nbsp;&nbsp;
                                                  <label>
                                                    <input type="radio" name="sugar" value="0" id="RadioGroup8_1" />
                                                    否</label>
                                                    &nbsp;&nbsp;&nbsp;</p></td>
                                                  </tr>
                                                  <tr>
                                                    <td colspan="4">您是否有空腹血糖受损？</td>
                                                  </tr>
                                                  <tr>
                                                    <td colspan="4"><p>
                                                      <label>
                                                        <input name="shousun" type="radio" id="RadioGroup8_0" value="1" checked="checked" />
                                                        是</label>
                                                        &nbsp;&nbsp;&nbsp;&nbsp;
                                                        <label>
                                                          <input type="radio" name="shousun" value="0" id="RadioGroup8_1" />
                                                          否</label>
                                                          &nbsp;&nbsp;&nbsp;</p></td>
                                                        </tr>
                                                        <tr>
                                                          <td colspan="4">您的血脂-血胆固醇是否高于5.2mmol/L？</td>
                                                        </tr>
                                                        <tr>
                                                          <td colspan="4"><p>
                                                            <label>
                                                              <input name="danguchun" type="radio" id="RadioGroup9_0" value="1" checked="checked" />
                                                              是</label>
                                                              &nbsp;&nbsp;&nbsp;&nbsp;
                                                              <label>
                                                                <input type="radio" name="danguchun" value="0" id="RadioGroup9_1" />
                                                                否</label>
                                                                &nbsp;&nbsp;&nbsp;</p></td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="4">您的血脂-血甘油三脂是否高于1.7mmol/L？</td>
                                                              </tr>
                                                              <tr>
                                                                <td colspan="4"><p>
                                                                  <label>
                                                                    <input name="ganyou" type="radio" id="RadioGroup10_0" value="1" checked="checked" />
                                                                    是</label>
                                                                    &nbsp;&nbsp;&nbsp;&nbsp;
                                                                    <label>
                                                                      <input type="radio" name="ganyou" value="0" id="RadioGroup10_1" />
                                                                      否</label>
                                                                      &nbsp;&nbsp;&nbsp;</p></td>
                                                                    </tr>
                                                                    <tr>

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